Your last sentence is the wrong answer. You won't be screaming - you'll be signing! Pain needs to be managed BEFORE it gets out of control. Find another doctor to take care of your pain management, maybe a regular internist would do or if you are at a comprehenive cancer center then get a referal to the pain management specialist. I had all of my meds lined up long before I actually needed them. What if the pain really hits you on a weekend or at night-do you really want to sit around in emergency all day (or night)?


This discussion gives me gratitude that I had a liberal and informed doctor who took pain management seriously and with a modern progressive viewpoint.

You may wish to go to the NCCN pain management guidelines below and print them out for your doctor.

http://www.nccn.org/physician_gls/f_guidelines.html